User Manual
Table Of Contents
- 08-0308 - Manual Cover.pdf
- 0070-10-0690-01 Panorama Operations Maual with Telepack 2.4 - CH16 REVISED2.pdf
- Foreword
- Warnings, Precautions and Notes
- Indications for Use
- Unpacking Information
- Symbols and Descriptions
- Technical Support
- 1.0 System Overview
- 1.1 Components of the Panorama System
- 1.2 Licensing Key
- 1.3 Supported Devices
- 1.3.1 Panorama Central Station
- 1.3.2 Panorama ViewStation and WorkStation
- 1.3.3 Panorama Telemetry Server
- 1.3.4 Panorama Wireless Transceiver
- 1.3.5 Panorama Gateway
- 1.3.6 Panorama Web Viewer
- 1.3.7 Passport 2® Bedside Monitor
- 1.3.8 Spectrum™ Bedside Monitor
- 1.3.9 Spectrum OR™ Bedside Monitor
- 1.3.10 Panorama Telepack
- 1.3.11 Network Printer
- 1.4 Troubleshooting
- 2.0 Getting Started
- 3.0 Alarm Behavior
- 4.0 Arrhythmia and ST Analysis
- 5.0 Patient Setup Functions
- 5.1 Demographics Tab
- 5.2 Transfer Tab
- 5.3 Discharge Tab
- 5.4 Display Tab
- 5.5 Standby Tab
- 5.6 Wave Gain Tab (Patient)
- 5.7 Print Setup Tab (Patient)
- 6.0 Patient Alarm Functions
- 7.0 Views
- 7.1 Bedside Tab
- 7.2 Trends Tab
- 7.3 Events Tab
- 7.4 Disclosure Tab
- 7.4.1 Accessing the Disclosure Tab
- 7.4.2 Disclosure Tab (Waveforms View)
- 7.4.2.1 Accessing the Waveforms View
- 7.4.2.2 Components of the Waveforms View
- 7.4.2.3 Navigating in the Waveforms View of the Disclosure Tab
- 7.4.2.4 ST Button
- 7.4.2.5 Comments Dialog Box (Optional)
- 7.4.2.6 Sidebar Buttons
- 7.4.2.7 Printing a Full Disclosure Zoom In Report from the Waveforms View
- 7.4.2.8 Troubleshooting
- 7.5 ST Tab
- 8.0 Report Functions
- 8.1 Patient Reports Tab
- 8.2 System Reports Tab
- 8.3 Print Status Tab
- 8.4 Additional Reports
- 9.0 System Setup Functions
- 9.1 Parameter Color Tab
- 9.2 Touch Screen Tab
- 9.3 Installation Setup Tab
- 9.4 Care Group Tab
- 9.5 Volume Tab
- 9.6 System Alarms Tab
- 9.7 Passwords Tab
- 9.8 Equipment Setup Tab
- 9.9 More Tab
- 9.10 Previous Tab
- 9.11 Date/Time Tab
- 9.12 Print Setup Tab (System)
- 9.13 Unit Priorities Tab
- 9.14 Unit Choices Tab
- 9.15 Wave Gain Tab (System)
- 9.16 Wireless Tab
- 10.0 Telepack (Optional)
- 11.0 User Maintenance
- 12.0 Parameter Specifications
- 12.1 Parameter Specifications
- 12.1.1 Heart Rate: HR
- 12.1.2 Respiration: Resp
- 12.1.3 NIBP
- 12.1.4 SpO2
- 12.1.5 Nonin SpO2
- 12.1.6 IBP: mmHg
- 12.1.7 CO2
- 12.1.8 O2
- 12.1.9 INSP/ET O2
- 12.1.10 N2O
- 12.1.11 Anesthetic Agents: Iso, Enf, Des, Sev, Hal, Agent
- 12.1.12 Premature Ventricular Contraction (PVC)
- 12.1.13 Temp: T1,T2, Delta T, and T Blood
- 12.1.14 ST
- 12.1.15 Cardiac Output
- 12.1.16 Cardiac Index
- 12.1.17 Pulmonary Artery Wedge Pressure (PAWP)
- 12.1.18 Battery Percentage
- 12.2 Invalid Data Display
- 12.1 Parameter Specifications
- 13.0 Alarms and Events
- 14.0 Network Tab (Optional)
- 14.1 Network Tab
- 14.1.1 Accessing the Network Tab
- 14.1.2 Sorting the Contents of the Network Tab List Box
- 14.1.3 Assigning Patient Tiles in the Network Tab
- 14.1.4 Removing a Patient Tile Assignment in the Network Tab
- 14.1.5 Removing All Patient Tile Assignments in the Network Tab
- 14.1.6 Refreshing the Network Tab List Box
- 14.1.7 Troubleshooting
- 14.1 Network Tab
- 15.0 Paging Tab (Optional)
- 15.1 Paging Password Tab
- 15.2 Paging Tab
- 15.2.1 Accessing the Paging Tab
- 15.2.2 Adding a Pager
- 15.2.3 Assigning a Patient Tile
- 15.2.4 Adding All Patient Tiles to a Pager
- 15.2.5 Removing a Patient Tile Assignment
- 15.2.6 Removing All Patient Tiles from a Pager
- 15.2.7 Editing a Pager
- 15.2.8 Removing a Pager
- 15.2.9 Resending a Failed Page
- 15.2.10 Generating a Paging Report
- 15.2.11 Troubleshooting
- 17.0 Glossary
Lead Placement Procedures Arrhythmia and ST Analysis
4 - 4 0070-10-0690-01 Panorama™ Operating Instructions
3-wire Lead Set
A 3-wire lead set can monitor one of three ECG vectors (I, II, or III). The recommended 3-wire
ECG lead placement is as follows.
5-wire Lead Set
A 5-wire lead set can monitor seven ECG vectors (I, II, III, aVR, aVL, aVF, and V)
simultaneously. The recommended 5-wire ECG lead placement is as follows.
FIGURE 4-1 3-wire Lead Placement (AHA) FIGURE 4-2 3-wire Lead Placement (IEC)
• Place RA (white) electrode under right clavicle,
mid-clavicular line within the rib cage frame.
• Place LA (black) electrode under left clavicle,
mid-clavicular line within the rib cage frame.
• Place LL (red) electrode on the lower left
abdomen within the rib cage frame.
• Place R (red) electrode under right clavicle,
mid-clavicular line within the rib cage frame.
• Place L (yellow) electrode under left clavicle,
mid-clavicular line within the rib cage frame.
• Place F (green) electrode on the lower left
abdomen within the rib cage frame.
FIGURE 4-3 5-wire Lead Placement (AHA) FIGURE 4-4 5-wire Lead Placement (IEC)
• Place RA (white) electrode under the right
clavicle, mid-clavicular line within the rib cage
frame.
• Place LA (black) electrode under the left clavicle,
mid-clavicular line within the rib cage frame.
• Place LL (red) electrode on the lower left
abdomen within the rib cage frame.
• Place RL (green) electrode on lower right
abdomen within the rib cage frame.
• Place V (brown) chest lead in the proper
positioning for desired lead V1-V6.
• Place R (red) electrode under the right clavicle,
mid-clavicular line within the rib cage frame.
• Place L (yellow) electrode under the left
clavicle, mid-clavicular line within the rib cage
frame.
• Place F (green) electrode on the lower left
abdomen within the rib cage frame.
• Place N (black) electrode on lower right
abdomen within the rib cage frame.
• Place C (white) chest lead in the proper
positioning for the desired lead C1-C6.
Black
White
Red